Find & Apply For Enrollment / Eligibility Specialist Jobs in Lakeport, California

TITLE:

PATIENT SERVICES REPRESENTATIVE II

(PSR II

• Lead)

DEPARTMENT

H.I.M

SUPERVISED BY

H.I.M

DIRECTOR CLASSIFICATION

FULL

TIME NON-EXEMPT POSITION SUMMARY

Directs and monitors patient registration workflow and distributes work to PSR I employees to complete patient registration, scheduling, and other duties daily. Audits new and updated patient registration for accuracy of data input within the Electronic Health record and other databases. Inputs and updates tribal eligibility within the electronic database yearly and as needed. Advises HIM Director of issues that are emergent or need immediate intervention. Trains additional or other employees in registration and other processes as needed. Gives input on employee performance for yearly or other evaluations. Provides coverage for absent employees as needed and maintains calendar of PTO. Educates patients on facility policies, provides information regarding registration and eligibility process to help patients complete registration and other required forms. Requests, audits and scans patient demographic and other information into the patient record. Runs insurance verification and verifies eligibility for services.

ESSENTIAL FUNCTIONS

• Directs, prioritizes, distributes and monitors workflow of HIM staff. .
• Audits for accuracy, verifies and corrects billing and patient registration information.
• Updates information, audits for accuracy and corrects Tribal eligibility within the computer databases as needed.
• Keeps and monitors registration staff PTO requests for coverage prior to sending to HIM Director for approval.
• Provides a higher level of Customer Service to patients who are requesting additional information on registration, No-Shows and other facility policies and processes.
• Fills in for absent Registration staff when needed and all duties they perform.
• Informs HIM Director of issues that are emergent or need immediate intervention.
• Updates/scans patient information within the electronic record accurately.
• Assures compliance with HIPAA, CMIA, Privacy Act and Freedom of Information guidelines.
• May be assigned to various work sites depending upon staffing needs
• Contributes to and participates in LCTH community events.
• Other duties as assigned.

EDUCATION, EXPERIENCE, CERTIFICATIONS AND LICENSES

• High School Graduate or GED
• 2 or more years' experience in being a lead or other supervisory staff
• 3 or more years 'experience working with electronic health records
• Understanding of medical insurance eligibility preferred
• Bilingual skills in English and Spanish preferred
• Proven data entry accuracy
• Must possess a high level of competency in organizational, communication and interpersonal skills
• Ability to establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds regardless of race, religion, age, sex. Disability or political affiliation
• Ability to prepare and express ideas in writing and verbally
• Ability to understand and carry out oral and written instructions
• A valid California Driver's license is required
• Must be available for occasional travel to conferences, seminars and training
• Knowledge of HIPAA, CMIA, and the regulations regarding patient confidentiality
• CPR certification required after employed All LCTHC employees are expected to:
• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the LCTHC policies and procedures as they may from time to time be updated.
• Demonstrate the core values and mission of the organization.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an Employee to successfully perform the essential functions of this job. Sitting /

Mobility:

Approximately 70% of time is spent working at a desk. Balance of time (approximately 30%) is spent moving around work areas.

Communication:

Ability to effectively communicate with co-workers, Board members, members of outside agencies, in person, by telephone, and by email.

Vision:

Ability to effectively use a computer screen and interpret printed materials, memos, and other appropriate paperwork. Lifting /

Carrying:

Ability to occasionally lift and/or move objects weighing no more than 25 pounds. Stooping /

Kneeling:

Ability to access files/stock supplies in low cabinets and shelves. Reaching /

Handling:

Ability to input information into computer systems and retrieve and work with appropriate paperwork, equipment, and supplies. Utilization of standard office equipment, including: computer, telephone, calculator, copiers, and fax. Work is performed in an office/clinic environment; continuous contact with other staff and the public.

INDIAN PREFERENCE

Preference may be given to qualified Native American Indians according to the Indian Preference Hiring Act, CFR 25 USC 472. Other than Indian Preference, Lake County Tribal Health Consortium, Inc. adheres to all provisions of the Equal Employment Opportunities Act.

NOTICE OF DRUG-FREE WORKPLACE ACT REQUIREMENT

LCTHC is committed to maintaining a drug free and alcohol free workplace. LCTHC believes that a healthy, productive workforce free from the effects of drugs is very important to all employees and patients. Substance abuse is incompatible with the health, safety, efficiency and the success of LCTHC. Employees who are under the influence compromise LCTHC'S interests, endanger their own and the health and safety of others and can cause a number of other work-related problems. As a condition of employment, each applicant receiving a job offer from LCTHC must take and pass a required drug screen test.

HIPAA Health Insurance Portability and Accountability:

This act was enacted to deal with three main areas with regard to patient information.

• Security of health information
• Standards of electronic transactions
• Privacy of individually identifiable health information

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change. Lake County Tribal Health is an At-Will Employer. Either the employee or LCTHC can terminate the employment at will, without advance notice, at any time, with or without